HomeMy WebLinkAboutZ-6716 F08M N0.
TOWN OF SOUTHOI.D
BUII.DING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. X6.7.16...... Date S?P.t.. ~Q...., 19.~1~.
THIS CERTIFIES that the building located at ..Lake . ~rive• • . • • • Sit
Map No...xx........ Block No... ??.....Lot No..?~?~ ...Southold li.Y.
r¢gt~refnez}ts fQ~;, onQ fam~,ly dwelllns & Housing code
conforms substantially to the
Built of oCCUpanc~
dated ....Be.Yore..i.pr. 23.., 19. 57 pursuant to which ~ No. 26716•
dated S@P.t 3a 19 was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .Private one family dNelling
The certificate is issued to . J®~p~e ,F~.scheg• , • „ pxmer .
- (owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval , nre-• existing
UNDERWRITERS CERTIFICATE No. F?re-existing
HOUSE NUMBER .....2045.... Street ...Lake Urive
I
Building Inspector
HOUSING CODE INSPECTION
September 29, 1975
2045 Lake Drive R-1
Southold, New York
Tax Roll: Jeanie N. Fischer
Occupied, John Fischer
Upon receipt of an applicdgtion for a Pre-Existing Certificate
of Occupancy I made an inspection of this one story framed
dwelling. I was admitted to building by Mr. Fischer who
accompanied me during this inspection which began at approximately
1:20 P.M.
The first floor consists of two bedrooms, bathroom, living
room, dining area and kitchen. Heat is furnished to all rooms
from a forced warm air, oil fired furnace located in furnace
room of finished part of cellar and basement.
Finished basement and cellar contains a separate living
unit with full kitchen facilities and bathroom in violation
of Chapter 100, Zoning Ordinance, Article III, Section 100-30 A.1.
The following violations of the Housing Code, Chapter 52,
Town of Southold, were found:
Furnace Room, inadequate openeings for air supply,
Article V, Section 52-53 G. Smoke pipe from furnace
to chimney has insufficient clearance to combustible
materials. Article V, Section 52-54 B.
Bedrooms:in cellar of building's foundation Article V,
Section 52-23 D. Bedrooms are being used and occupied
by John Fischer and wife and daughter.)
Inspection completed at approximately 2:10 P.M.
R pectfully submitted,
/~i~]. e
EH:mm war i d"e"i'ftf~nn
Building Inspector
FORM NO. 8
TOWN OF SOUTHOLD
Building Department
Town Clerks Offleo
Southold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and .similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property showing all property lines, streets, buildings and unusual natural
or topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Dote ~.-~~P,~.~:!?2.~€~.. ~9r ~9~+
New Building Addition Old or Pre-existing Building ...,1\ Vacant Lond
op y
Location Of Pr ert ~K,~.....~~.~Y..~ ~Q.Q1l.S~C?.F.:rfR?...-...
Owner Or Owners Of Property .......(~.t.?Cf.A~<•.t~.....,eL:./.~~/.`~.Ct?:~~
Subdivision ................................................................Lot No............. Block No............. House No.~~r~..5._
Permit No Date Of Permit ....................Applicant ~~.~/.~Cjl.~......~:.IrSJC,t~~~...........
Health Dept. Approval ............................................Labor Dept. Approval
Underwriters Approval ..............................Planning Board Approval
Request For Temporary Certificate Finn) Certificate
Fee Submitted $
Construction on above described building permit meets a`ll~applicable~c,~od~es and regulations.
Applicant ~~....5`,~'~~~~~ll..C./
Sworn to before me this
day of (stomp or asap
Notary Public County